NC Arts in ActionTeacher Training Release Form 2017-2018

Dear Artist, 

Thank you for participating in the NC Arts in Action (NC AIA) teacher training workshop. Please completed this form by Monday, August 14th when you attend the first day of the workshop. NC AIA staff will be collecting the data & forms up until this date. To learn more about Arts in Action, please visit www.ncartsinaction.org
 
NC AIA Teacher Training 2017-2018
 
Many thanks! 
Alton D. Tisino

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* 1. DATE/ Fecha

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* 2. Artist Name

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* 3. Address/ Dirección

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* 4. Phone (___)___-____
Teléfono

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* 5. eMail 
¿Correo Electrónico?

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* 6. NC AIA photographs and films group classes and performances throughout the program for grant reports, promotional materials, website, and information for potential schools and donors. For the safety of the children, we do not share any information about the children without parental consent. If you have any concerns, please feel free to contact us or express them at the bottom of this page. Thank you for your understanding.

 RELEASE:
As additional consideration for the participant’s instruction, the undersigned hereby releases and holds harmless NC AIA and/or any of its agents or representatives from any liability whatsoever arising out of injury to the person or the property of the participant which may occur while participating in the activities of NC AIA. This undersigned further agrees to indemnify NC AIA in the event any claims are asserted against it arising from the individual’s participation. I (we) understand and agree that in participating in any physical activity, there are risks for injury or bodily harm and agree to assume all such risks.

Thank you for helping us transform the lives of children once dance step at a time!
Gracias por ayudarnos a transformar las vidas de los niños una vez que paso de baile a la vez!

T